Displaying 224251-224260 of 1611142 results.
ID:
224251
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224252
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224253
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224254
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224255
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224256
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224257
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224258
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224259
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224260
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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